Ingabe unesifo sokuzungeza okuqhubekayo? Ake sixoxe nge-PPPD (Isiyezi Esiqhubekayo Sokuqonda)!

Ingabe ngezinye izikhathi uzizwa unesizungu ngaphandle kwesizathu, ulahlekelwa ibhalansi yakho lapho umi noma uhleli, futhi uzizwe sengathi untanta esikebheni? Kunzima kakhulu ukuhlala nalesi sizungu izinsuku eziningi, akunjalo? Ungase uzizwe udabukile futhi wesaba kakhulu ngalokhu. Namuhla sizokhuluma ngalolu hlobo lwesizungu sesikhathi eside, okusho ukuthi sihlala izinyanga ezintathu noma ngaphezulu. Odokotela bakubiza ngokuthi i-PPPD (Isiyaluyalu Esiqhubekayo Sokuqonda) . Nakuba igama lingase libonakale lide kancane, masiligcine lilula.

Kuyini i-PPPD (i-Persistent Postural-Perceptual Dizziness)? Kalula nje...

Singathola incazelo ye-PPPD kumagama ngokwawo.

• Okuphikelelayo: Lokhu kusho ukuthi kuhlala isikhathi eside . Ubulokhu ubhekene nalesi sizungu okungenani izinyanga ezintathu, iningi lezinsuku.
• Isimo somzimba: Lokhu kuhlobene nesimo somzimba . Lesi sizungu siba sibi kakhulu uma umi, uhleli, noma uqonde.
• Ukuqonda: Lokhu kuhlobene nokuqonda kwethu, okungukuthi, indlela esibona ngayo izinto . Uzizwa sengathi wena noma indawo okuzungezile anilingani. Kuzwakala sengathi umhlaba uyazamazama, noma wena ngokwakho uyazamazama.
• Ukuzungeza: Lokhu kuyisizungu . Kodwa akufani nokuthi "i-Vertigo" lapho izinto zizungeza khona. Ku-PPPD, kuzwakala sengathi uyazamazama, sengathi usesikebheni, noma awuzinzile .

Kalula nje, i-PPPD uhlobo lwesiyezi oluqala ngemva kwesigameko, luhlale isikhathi eside, lukhule uma umile, futhi lwenze wena noma indawo okuyo uzizwe ungalingani, njengokungathi uyanyakaza.

Imizimba yethu inesimiso esiyinkimbinkimbi esilawula ibhalansi yethu. Sihilela amehlo ethu, imisipha, uhlelo lwe-vestibular olusendlebeni yethu yangaphakathi, kanye nobuchopho . Zonke lezi zinto zisebenza ndawonye, ​​​​zisebenza njengeqembu, ukuze zisivimbele ekuweni. Lokhu kwenzeka ngokwemvelo, ngaphandle kokuthi siqaphele.

Kodwa kumuntu one-PPPD, kukhona ukuwohloka noma ukungahambisani kokuxhumana phakathi kwezingxenye zalesi simiso. Okusho ukuthi, kunenkinga ngendlela izimpawu ezivela emehlweni, emzimbeni, kanye nendlebe yangaphakathi eziya ngayo ebuchosheni futhi zihlanganiswa ndawonye. Into ebalulekile ukuthi akukho sifo noma umonakalo ezingxenyeni ngazinye zalesi simiso (njengamehlo, izindlebe, kanye nobuchopho) . Kodwa "azivumelanisiwe" ndawonye. Yingakho uzizwa ungazinzile futhi unesiyezi.

Sivame kangakanani lesi simo se-PPPD?

I-PPPD ingaba yisimo esivame kakhulu manje esibhekwa njengembangela yesiyezi sesikhathi eside. Kodwa-ke, kuyisifo esisha kakhulu.. Kwakungo-2017 kuphela lapho ochwepheshe bezokwelapha bahlangana khona ukuze bachaze izindlela zalesi simo. Ngakho-ke kusenocwaningo oluningi oluqhubekayo, futhi kuningi okufanele kufundwe. Esikhathini esidlule, kungenzeka ukuthi kwakungenakwenzeka ukuhlonza ngokunembile abantu abanalezi zimpawu.

Ziyini izimpawu ze-PPPD?

Umuntu one-PPPD uzizwa enesizungu isikhathi esiningi . Lokhu kusho ukuthi angase azizwe enesizungu izinsuku ezingaphezu kweziyisikhombisa ngesonto. Ngezinye izikhathi lesi sizungu singahlala amahora amaningi ngesikhathi, futhi singaba sibi kakhulu njengoba usuku luqhubeka . Noma singafika sidlule ngaphandle kwesimo.

Isiyezi esibangelwa yi-PPPD singazwakala sengathi isikebhe sijikijelwa amagagasi, noma sengathi uyanyakaza, uzizwa ungazinzile, njengokungathi awukwazi ukugcina izinyawo zakho phansi . Nakuba lokhu kungenzeka ngaphandle kwesizathu esithile, kungaba nzima kakhulu kwezinye izimo. Isibonelo:

• Uma umile, uhleli uqonde, noma ushintsha izikhundla ngokuzumayo (isib. ukuvuka embhedeni).
• Uma uhamba ngezinyawo noma ugibele imoto (imoto, ibhasi, isitimela) .
• Uma ubona izinto eziningi kakhulu ngesikhathi esisodwa . Cabanga ngokubuka amashalofu okudla esitolo esikhulu, noma ukuphequlula ezinkundleni zokuxhumana efonini yakho. Isiyezi singanda ezindaweni ezinezisusa eziningi ezibonakalayo.

Ngaphezu kwalezi zimpawu eziyinhloko, ezinye izimpawu zingase zihambisane ne-PPPD:

• Inkungu yobuchopho: Lokhu kusho ukuthi kunzima ukucabanga kahle nokugxila.
• Ukulahlekelwa yinkumbulo yesikhashana: Ukukhohlwa izinto ezincane ngokushesha.
• Ubunzima bokugxila: Kunzima ukugxila entweni eyodwa noma ukuqhubeka nokwenza umsebenzi owodwa.

I-PPPD ingakwenza uzizwe ungaxhunyiwe emzimbeni wakho, okukuzungezile, kanye nabanye abantu, njengokungathi usephusheni . Ungase futhi ugweme imisebenzi yomphakathi kanye nemisebenzi yansuku zonke ngokwesaba ukuthi kuzokwandisa isiyezi sakho. Lokhu kungaba nomthelela omkhulu ezingeni lakho lempilo.

Ziyini izimbangela ze-PPPD?

I-PPPD ivame ukuqala ngemva kwesenzakalo "esibangela" esithinta ibhalansi yakho . Lokhu kusho ukuthi kungenzeka ukuthi wake waba nesiqephu sangaphambilini sesiyezi, njengokulimala ekhanda, futhi i-PPPD ingaqhubeka ngisho nangemva kokuba isipholile.

Nazi ezinye zezinto ezingabangela i-PPPD:

• Isiyezi esinzima nesizumayo (i-Acute vertigo).
• I-Benign Paroxysmal Positional Vertigo (BPPV) yisimo esibangela isiyezi uma ushukumisa ikhanda lakho.
• Ukulimala ekhanda (isb., ukuxhuzula kwekhanda).
• Izifo zendlebe zangaphakathi njengesifo sikaMénière.
• Ukuhlaselwa uvalo.
• Isimo 'sokushaywa yisifo sohlangothi' (ukukhubazeka).
• I-'Vestibular migraine' iyisiyezi esenzeka nge-migraine.
• I-Vestibular neuritis ukuvuvukala kwenzwa endlebeni yangaphakathi.

Okwenzekayo ku-PPPD ukuthi ngisho nangemva kokuba isiyezi sokuqala noma ukugula sekudlulile, ubuchopho bakho bukhumbula okuhlangenwe nakho "kokulahlekelwa ibhalansi" . Ngaphandle kokuqaphela, uqala ukuqaphela ngokweqile izinto ezithinta ibhalansi yakho, njengendawo yomzimba wakho nendawo ezungezile. Lokhu kuqaphela ngokweqile kungakwenza uzizwe ukhathazekile ngaso sonke isikhathi.

Cabanga ukuthi ushelele wawa emgwaqweni. Ngemva kwalokho, ubuzoqaphela kakhulu njalo uma uhamba kulowo mgwaqo, ubheke phansi, futhi ucabanga ngesinyathelo ngasinye, akunjalo? Ngokufanayo, ku-PPPD, ubuchopho bakho buqala ukucabanga kakhulu ngokulinganisela futhi buqaphele.

Esikhundleni sokuba usizo, lokhu kuzwela kubangela ukuthi ubuchopho bakho bungakwazi ukucubungula kahle ulwazi lwezinzwa oluvela emehlweni akho, emisipheni, nasendlebeni yangaphakathi, okukugcina uzinzile. Ochwepheshe bathi ubuchopho bakho buthembele kakhulu ezinzweni ozizwa kakhulu (isib., lokho okubonayo, indlela obamba ngayo umzimba wakho), futhi abusebenzisi kahle izinzwa ozizwa kancane (isib., ulwazi mayelana nokunyakaza okucashile okuvela endlebeni yakho yangaphakathi). Lokho kungafani yikho okubangela izimpawu zakho.

Lokhu kuyaphazamisa kakhulu, ngoba njengoba nje ukugcina ibhalansi kuza ngokwemvelo kumuntu ongenawo i-PPPD, lokhu kungezwani komzimba nakho kuza ngokwemvelo kumuntu one-PPPD.

Ubani osengozini enkulu yokuthola i-PPPD?

Ezinye izifundo zikhombisile ukuthi abesifazane banamathuba aphindwe kane okuthuthukisa i-PPPD kunabesilisa . Futhi, abantu abanesimo esivele sikhona esithinta ibhalansi (isifo se-vestibular) noma isimo sempilo yengqondo njengokukhathazeka noma ukucindezeleka banamathuba amaningi okuthuthukisa i-PPPD ngemva kokubhekana nesinye sezehlakalo ezibangwa ngenhla.

Ubuntu bakho bungadlala indima. Izifundo zikhombisile ukuthi i-PPPD ivame kakhulu kubantu abanamahloni, abanamahloni kakhulu .

Itholakala kanjani i-PPPD?

Ukuxilonga i-PPPD ngezinye izikhathi kungaba yinselele ngoba asikho isifo ezingxenyeni ngazinye zesistimu yakho yokulinganisela. Ngakho-ke, ukuhlolwa okuvamile kwebhalansi, njengokuhlolwa kwe-vestibular, kungabuya kujwayelekile .

Ngakho-ke, udokotela wakho uzokuxilonga ukuthi une-PPPD ngokusekelwe ezicini ezinhlanu ezihlobene nezimpawu zakho . Uxilongwa ukuthi une-PPPD uma uhlangabezana nalezi zindlela:

1. Uzizwe unesizungu noma ungazinzile izinsuku eziningi okungenani izinyanga ezintathu (ngaphandle komuzwa wokuzungeza).

2. Izimpawu zingase zikhule ngaphandle kwesizathu esithile, kodwa isiyezi singase sibe sibi kakhulu lapho umi, uhamba, noma ubuka izinto eziningi .

3. Qala ukuphotha.Ube nesenzakalo esikubangela ukucindezeleka (isenzakalo sesikhashana noma ukugula kwesikhathi eside).

4. Izimpawu zakho zibe nomthelela omubi empilweni yakho yansuku zonke kanye nekhwalithi yempilo .

5. Udinga ukuqinisekisa ukuthi izimpawu zakho azibangelwa yinoma yisiphi esinye isimo sezokwelapha (kungadingeka ukuthi uhlolwe ukuze kutholakale ezinye izimo).

Yiziphi izindlela zokwelapha i-PPPD?

Okwamanje akukho ukwelashwa kwe-PPPD. Kodwa-ke, kunezindlela eziningana zokwelapha ezingakusiza ukuphatha isiyezi sakho. Udokotela wakho angase akuncome okukodwa noma ngaphezulu kwalokhu.

Izindlela zokwelapha eziyinhloko yilezi:

• Ukwelashwa Kokuvuselelwa Kwe-Vestibular (VRT): Lokhu ukwelashwa okukhethekile ngokomzimba. Kukusiza uqonde ukuthi ukuzwela ngokweqile komzimba wakho (hyperfocus) kukwenza ube nesiyezi. Uma usuqonda okwenzekayo, ungafunda amasu okuphatha izimpawu zakho. Kuhilela ukwenza izivivinyo ezikhethekile zokulinganisela.
• Ukwelashwa Okukhulumayo: Ukwelashwa okufana ne-Cognitive Behavioral Therapy (CBT) kungaba usizo kakhulu ekulawuleni ukukhathazeka okungakhulisa izimpawu ze-PPPD. Kungakusiza futhi ukuthi uthuthukise amasu okuphinde ube nobudlelwano nabantu futhi uzethembe uma usuzihlukanisile nabantu ngenxa ye-vertigo yakho.
• Imithi: Udokotela wakho angase akunike uhlobo lwemithi ebizwa ngokuthi ama-SSRI (Selective Serotonin Reuptake Inhibitors) noma, uma leyo mithi ingasebenzi, ama-SNRI (Serotonin-Norepinephrine Reuptake Inhibitors). Lena imithi enikezwe ngqo ukucindezeleka nokukhathazeka. Nakuba ucwaningo lusaqhubeka ngokuthi isebenza kanjani ngempela i-PPPD, kucatshangwa ukuthi iyasiza ekunciphiseni ukukhathazeka kanye nokuzwela okuhlobene ne-PPPD.

Hlobo luni lodokotela olapha i-PPPD?

Uma unezimpawu ze-PPPD, qala ngokubona udokotela womndeni wakho (PCP) . Angakudlulisela kuchwepheshe uma kudingeka. Ochwepheshe abaxilonga futhi belapha i-PPPD bahlanganisa:

• Odokotela Bezinso (ama-ENT)
• Odokotela bamehlo - odokotela be-ENT abangochwepheshe ezimweni zendlebe yangaphakathi
• Odokotela bezinzwa
• Izazi Zengqondo noma Odokotela Bengqondo
• Abelaphi bomzimba be-Vestibular

Ingabe i-PPPD ingelapheka ngokuphelele?

I-PPPD ayipheli ngokuphelele , futhi kungathatha isikhathi ukuthola ukwelashwa okufanele ukulawula i-vertigo yakho.

Nokho, izindaba ezinhle ukuthi abantu abaningi abane-PPPD bangasiphatha ngempumelelo lesi simo ngokwelashwa nangemithi.Ochwepheshe basacwaninga ukuthi ukwelashwa ngakunye kanye nokuhlanganiswa kokwelashwa kungabasiza kanjani abantu abane-PPPD.

Ngizinakekela kanjani njengomuntu one-PPPD?

Uma une-PPPD, ukuzinakekela kusho ukuzibekezelela njengoba uzama ukuthola ukwelashwa okuzokusiza . Ngenxa yokuthi lesi simo sisha, ucwaningo ngezokwelapha eziphumelela kakhulu lusesezigabeni zalo zokuqala. Kungase kudingeke uzame ukwelashwa okuhlukile kanye nemithi ngaphambi kokuthi uthole okusebenzela kahle kakhulu.

Futhi, yiba nomusa kuwe njengoba ufunda ukuphila nalesi sifo. Abantu abaningi abane-PPPD bathi kunzima ukuchaza lokho ababhekene nakho kwabanye. Abanye bangase bathi izinto ezinjengokuthi, "Abaqondi," noma "Konke kusekhanda lakho."

Kodwa akunjalo. I-PPPD yisimo sangempela esiphazamisa umuzwa wakho wokuzinza emzimbeni wakho. Yisimo ozoba nzima ukusilawula. Kodwa kukhona odokotela abakulungele ukukusiza.

Ungakwazi yini ukushayela uma une-PPPD?

Buza udokotela wakho ukuthi kuphephile yini ukushayela uma une-PPPD. Abanye abantu abanalesi simo baba nesiyezi esikhulu ngenkathi beshayela. Bangase bazizwe sengathi imoto izowela phansi. Lokhu kulahlekelwa yibhalansi kungenza kube nzima ukushayela ngokuphepha. Abanye abantu bangashayela, kodwa kuphela ngesivinini esingaphezu komkhawulo wejubane obekwe.

Isimo sakho sincike ekutheni i-vertigo yakho inzima kangakanani nokuthi ngabe uthole ukwelashwa okukusebenzelayo ukuyilawula. Ungalokothi uthathe amathuba.

Ingabe i-PPPD imane nje iyinkinga yokukhathazeka?

I-PPPD kanye nokukhathazeka kuyizifo ezimbili ezihlukene . Kodwa-ke, uma usuvele unesifo sokukhathazeka bese uhlangabezana nesenzakalo esibangela lokho, ungase ube sengozini enkulu yokuthola i-PPPD. Futhi, ukuhlala ne-PPPD ngaphandle kokwelashwa kungadala i-feedback loop engemihle eyenza ukukhathazeka kube kubi nakakhulu.

Yingakho ukwelashwa kokukhathazeka (isib. i-CBT, imithi) kuvame ukuba yingxenye yohlelo lokwelashwa lwe-PPPD.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela wakho, ungabuza imibuzo efana nale:

• Yini okungenzeka kakhulu ukuthi iyimbangela ye-PPPD yami?
• Yiziphi izinto okufanele ngizigweme ukuze ngivimbele isiyezi esibi kakhulu?
• Yiziphi ezinye zezinto ezingaphephile ukuthi ngizenze ngokuxilongwa kwami ​​(isib. ukushayela, ukusebenza ezindaweni eziphakeme)?
• Yikuphi ukwelashwa ongincomayo?
• Yiziphi izindlela esizisebenzisayo ukuze sazi ukuthi ukwelashwa kuyaphumelela?
• Ingabe ikhona imiphumela emibi kulezi zindlela zokwelapha?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Uma uhlala uzizwa unesizungu ngaphandle kwesizathu esicacile, bonana nodokotela ngokushesha.Kungathatha isikhathi ukuthola ukuthi i-PPPD iyimbangela yezinkinga zakho zokulinganisela yini. Kodwa uma ushesha ukufuna usizo, kulapho usheshe uthole uhlelo lokwelapha oluzokusiza ukuthi ubuyele endleleni efanele .

I-PPPD ingaba yisimo sokuphila kwakho konke, kodwa akudingeki ukuthi inciphise ikhwalithi yempilo yakho. Ngeseluleko sezokwelapha esifanele kanye nokwelashwa, ungafunda ukusiphatha futhi uphile kahle. Awuwedwa, futhi kukhona odokotela nabelaphi abazokusiza kulolu hambo.

` I-PPPD, Isiyezi, Ibhalansi, Uhlelo Lwezinzwa, Ukukhathazeka, Ukwelashwa, I-Vertigo